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Welcome to the July/August issue of JWOCN, your source for cutting edge, evidence-based approaches to clinical challenges. Crumley presents a technological analysis of ionic silver as as a component of topical wound therapy. You will learn about various ionic silver formulations and possible beginning of bacterial resistance. The article informs your knowledgeable, safe use of topical silver.

The international focus on pressure injury prevention is demonstrated by articles from New Zealand and Australia. Moir, Taylor, Seaton & Snell used a mixed methods approach to identify barriers and facilitators for NZ nurses in pressure injury prevention roles. Lovegrove, Fulbrook, and Miles conducted a pragmatic RCT in 130 Australian patients to analyze effects of a preventive sacral foam dressing. They identified the sample size needed for a future definitive RCT.

Ratliff, Yates, McNichol, and Gray report on the update of the WOCN Society compression for lower extremity venous disease algorithm. For the first time, lymphedema has been addressed. The New Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL) algorithm provides critical EBP and best practice consensus statements to guide your clinical management.

For ostomy care, studies from the US and Spain offer evidence-based support for interventions. Kato and Sigmund describe a novel group education class for over 1500 Americans living with an ostomy and family members while Martin-Munoz, Montesino-Galvez, Crespillo-Diaz, Jodar-Sanchez examined social interaction effects (ostomy visitors) on 27 Spanish patients with a new ostomy. Findings from both studies indicate that structured classes and social support promote coping and positive adaptation.

Puzzled about best practice approaches to long-term suprapubic catheter management? Read Sweeney's article from Australia on the six elements of a best practice guideline for these challenges. For foot and nail care, Kelechi, Mueller, Madisetti, and Prentic​e conducted a RCT on cooling intervention on pain and mobility in American patients with VLUs and DFUs. The cooling provided some minimal reduction in pain and improved function. Check out this issue; it has the evidence for guiding your safe, effective care.

​Your Deputy Editor

Janice M. Beitz